this is a post I have to write back to this two classmate can you guys do this? classmate#1 when caring for human lives it is imperative to practice based on what evidence has shown us to be the best practice. Also this on e too Evidence-based practice (EBP) provides healthcare providers with a method to assess and support the use of scientific evidence in providing cost effective and exceptional health care to patients. A nurse’s intent should include lifelong learning. This nurse executive student understands a nurse’s intent includes lifelong learning and the importance to improve in the use of EBP at the point of care; recognizing it’s benefits in areas of compliance in medication administration and patient outcome. Nurse leaders carry a significant role in promoting EBP and providing their fellow nurses information of scientific knowledge available to guide point of care practice. Reports indicate many barriers with the implementation of EBP; including availability of information, poor skills, facility readiness to adopt new practice and belief in the benefits of EBP, by nurses (Hauck, Winsett, & Kuric, 2012). I feel bringing awareness to the obstacles nurses have that prevent use or knowledge of best EBP will encourage opportunities for implementation. Knowing that all types of barriers exist in providing the EBP point of care, this nurse executive student will help identify and eliminate barriers that are preventing nurses at the point of care from implementing the best evidence-based care. Hauck, S., Winsett, R., & Kuric, J. (2012). Leadership facilitation strategies to establish evidence-based practice in an acute care hospital. Journal of Advanced Nursing, 69(3), 664-674. Tests have proved that using evidence based practice creates a better care for the patient, better costs, and happier nurses (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010). There are several steps involved for practicing evidence based practice. Melnyk et al. (2010) discusses the steps of evidence based practice through items such as investigation, asking a clinical question, researching the best evidence, critically appraising the evidence, using the evidence into practice, assessing the outcomes , and distributing conclusions. classmate #2.Evidence based practice is based on research, studies, results based on actual facts and evidence, that leads to practice in which patients are safest with the highest level of care. I am currently on the specialty track for nurse practitioner. In the position of nurse practitioner, evidence based practice is extremely important, as I will be caring for patients diagnosing and treating. Treatment plans that I will order need to be based upon what research shows to be the best practice available. I have chosen to seek education to be able to practice as a family nurse practitioner, because I wanted to be able to care for patients in the advanced practice role. As floor nurses we often see orders or order sets that we may or may not agree with. I think having hospital floor experience before taking on the role of a family nurse practitioner will help to better understand the patients wants and needs. One area where I am passionate about is pressure ulcer prevention. I believe that there is evidence that shows techniques available to reduce the prevalence of pressure ulcers among our patient populations. Over the past several years interventions have been utilized to decrease the quantity of pressure ulcers by using evidence based practice (Elsevier, 2015). An example of this would be through utilization of preventative techniques and understanding contributing factors to causation of pressure ulcers. Understanding things such as patient self-care, physical activity, and adequate nutritional status are items that put a patient at risk for a pressure ulcer (Elsevier, 2015). Taking this knowledge with me into practice as a family nurse practitioner I can assess patients in an holistic manner and determine what risk factors pertain to each of my patients, and recommend or prescribe adequate resources that may be available to the patients to avoid increased risk of obtaining a pressure ulcer. References Elsevier. (2015). Evidence-based practices in pressure ulcer prevention: lost in implementation. International Journal of Nursing Studies, 1655-1658. Melnyk, B., Fineout-Overholt, E., Stillwell, S., & Williamson, K. (2010). Evidence-based practice: step by step: the seven steps of evidence-based practice. American , 51-53.
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